Nexgen Mental Health & Wellness

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP-922A Issued in ID

Legal business name

NEXGEN MENTAL HEALTH & WELLNESS

Practice address

3152 S Bown Way Ste 101
Boise, ID 83706-5456

Phone

(208) 922-7055

Fax

(208) 576-6930

NPI assigned

Aug 17, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donna J Christensen, NPNPI 1396978722

Title

Managing Member

Phone

(208) 922-7055

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna J Christensen, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Boise, ID
  • NPI 1396978722

  Family

  Medicare reassignment NPD Authorized official
• Carolyn Corbett, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Boise, ID
  • NPI 1841529310
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1801376066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 S BOWN WAY STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065456",
            "telephone_number": "208-922-7055",
            "fax_number": "208-576-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 S BOWN WAY STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065456",
            "telephone_number": "208-922-7055",
            "fax_number": "208-576-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXGEN MENTAL HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "208-922-7055",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-922A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "NP-922A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Janeen Newsom, RPH
• Misti Newson, PMHNP
• Carrie Newton, M.S., D.O.
• Diane R Newton, M.D.
• Kelsy Newton, PSYD
• Nexus Wound Consultants LLC
• Amy Ney-King, RN
• Daniel Ngirabakunzi
• Amy Nguyen, MD
• Andrew Nguyen, MD

• Psychiatric/Mental Health Nurse Practitioner in Boise, ID
• Providers in Boise, ID by specialty
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.